Date of Paper/Work


Type of Paper/Work

Doctor of Nursing Practice Project

Degree Name

Doctor of Nursing Practice



First Advisor

Lori J. Winchell


Doctor of Nursing Practice


Diabetes self-care management is a critical piece in achieving healthy glycemic control among patients diagnosed with type 2 diabetes mellitus (T2DM) to improve their health outcomes and eventually result in a reduction of healthcare costs. This quality improvement project aimed to develop a diabetes self-management guideline for Native American Elders living in a low-income apartment complex. Thirteen residents with Type 2 Diabetes Mellitus (T2DM) participated. Culturally tailored educational discussions and individualized coaching sessions occurred weekly. A pre-and post-survey were administered to assess each resident’s self-efficacy in managing their T2DM. Additionally, blood sugar measurements were recorded and compared at the start and end of this project. A paired two-tailed t-test was conducted to compare survey pre and post-tests with a p-value of 0.05. The population mean was calculated using data collected for the pre-and post- glucose measurements. Findings suggest that culturally sensitive education and coaching encouraged participants to take proactive steps to manage their T2DM.